Organization Active NPI

2J Dental Edge of Norman PLLC

Doing business as Dental Edge of Norman

  • Dentist
  • Norman, OK
National Provider Identifier
1578036562
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
2J DENTAL EDGE OF NORMAN PLLC
Doing business as
Dental Edge of Norman
Practice address
2400 12TH Ave NE Ste 140
Norman, OK 73071-6841
Phone
(405) 310-5285
NPI assigned
Jan 2, 2019
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Brasher, DDS
Title
President
Phone
(405) 474-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2400 12TH Ave NE Ste 140
Norman, OK 73071-6841

Mailing address

3901 E Covell Rd
Edmond, OK 73034-6909
Phone (405) 474-6362

Other names 1

  • Dental Edge of Norman Doing business as

National Provider Directory

National Provider Directory

Locations

3901 E Covell Rd
Edmond, OK 73034
Phone (405) 359-0808

2400 12th Ave NE
Ste 140
Norman, OK 73071
Phone (405) 310-5285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1578036562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346909",
            "telephone_number": "405-474-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 12TH AVE NE STE 140",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716841",
            "telephone_number": "405-310-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2J DENTAL EDGE OF NORMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Edge of Norman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.